BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 480616 · Received August 22, 2003

    Report

    Report Number
    480616
    Event Type
    Injury
    Date Received
    August 22, 2003
    Report Date
    August 19, 2003
    Manufacturer
    UNK
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS TAKEN TO SURGERY FOR SCHEDULED REMOVAL OF VENOUS PORT CATHETER WHEN IT WAS DISCOVERED THAT THE CATHETER WAS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK VENOUS PORT CATHETER LJT UNK UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention